Provider Demographics
NPI:1598162729
Name:DUNCAN, EVELIA MARIE
Entity Type:Individual
Prefix:MRS
First Name:EVELIA
Middle Name:MARIE
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1528 US HIGHWAY 395 N
Mailing Address - Street 2:SUITE 100
Mailing Address - City:GARDNERVILLE
Mailing Address - State:NV
Mailing Address - Zip Code:89410-5265
Mailing Address - Country:US
Mailing Address - Phone:775-782-3671
Mailing Address - Fax:775-782-6639
Practice Address - Street 1:1528 US HIGHWAY 395 N
Practice Address - Street 2:SUITE 100
Practice Address - City:GARDNERVILLE
Practice Address - State:NV
Practice Address - Zip Code:89410-5265
Practice Address - Country:US
Practice Address - Phone:775-782-3671
Practice Address - Fax:775-782-6639
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-03
Last Update Date:2014-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator